EMPLOYER'S ANNUAL RECONCILIATION OF
EARNINGS TAX WITHHELD
Phone
RD-113
City of Kansas City, Missouri
(816) 513-1120
(12/09)
Revenue Division
Free E-filing:
Period From:
Period To:
Legal Name:
FEIN Number:
Mailing Address:
Account ID:
DBA Name:
Due Date:
Business Address:
For changes to name, address or FEIN/SSN, please contact us at or (816) 513-1135.
For reconcillation purposes only; do not send payment or request refund with this form.
1. No. of taxable employees
DOLLARS
CENTS
IMPORTANT NOTICE
2. Withheld for qtr. ending 3/31
Submit W-2 Information
only on those employees
3. Withheld for qtr. ending 6/30
for whom you withheld
KCMO Earning Tax.
4. Withheld for qtr. ending 9/30
5. Withheld for qtr. ending 12/31
6. Total Withheld for the Year
7. Total Payments for the Year
This reconcillation will not be deemed complete if the bottom portion is not completed and signed.
Under penalties of perjury, I declare this to be a true, correct, and complete return f or the tax period stated.
Taxpayer Signature
Print Name
Title
Date
Phone
Preparer's Signature (if other than taxpayer)
Print Name
Title
Date
Phone
I authorize the Com missioner of Revenue or delegate to discuss my
Yes
No
return and attachm ents with my preparer.
Instructions for preparing and filing Employer's Annual Reconciliation of Earnings Tax Withheld
Who must
Each employer within the City of Kansas City, Missouri who employs one or more persons is required to file this form.
Employers outside the city who voluntarily withhold earnings tax from Kansas City, Missouri residents should file this form.
file:
When and
Employers must file W-2 information with the City of Kansas City, Missouri on or before the last day of February. Please submit files
where to file:
through our on line portal or mail them to City of Kansas City Missouri, Revenue Division, 414 East 12th Street, Kansas
City, MO 64106
Line 1. Enter number of employees subject to tax.
Line 7. Enter total payments remitted for the year (should equal Line 6).
Lines 2 through 5. Enter amount of earnings tax withheld for each
quarter of the tax period indicated.
Line 6. Enter total amount withheld (sum of Lines 2 through 5).
Note: If under-withheld, submit payment with an amended return (RD-110). If over-withheld, submit amended return (RD-110) for credit or refund.
For Reconciliation purposed only; Do not send payment with this form
Csv File (CD only; no diskettes)
CD, KCMO FTP SITE ( )
Paper (100 or fewer employees only)
Draft